Individual
DR. ALAN JAMES BRONGIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1141 E MAIN ST STE 105, EAST DUNDEE, IL 60118-2440
(847) 428-3322
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-2440
(630) 469-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-055721
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1615242
BCBS
IL
01
—
21609105
BCBS
IL
Enumeration date
08/31/2006
Last updated
11/12/2018
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